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JONTA DELISA TIDWELL
NPI 1912524273
Home Health in Fargo, ND

Active since July 01, 2020
3026 18TH ST S, FARGO, ND 58103(480) 286-8603 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonta Delisa Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONTA DELISA TIDWELL (NPI 1912524273) is an individual home health provider in Fargo, North Dakota and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1912524273
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameJONTA DELISA TIDWELL
Location Address3026 18TH ST SFargo, ND 58103-6716
Mailing Address3026 18th St SFargo, ND 58103-6716 · (480) 286-8603
Phone(480) 286-8603
Sole ProprietorYes
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1912524273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3026 18TH ST S, Fargo, ND 58103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonta Tidwell's NPI number?

The NPI number for Jonta Tidwell is 1912524273. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Jonta Tidwell located?

Jonta Tidwell practices at 3026 18th St S, Fargo, ND 58103. The listed phone number is (480) 286-8603.

What is Jonta Tidwell's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Jonta Tidwell was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.